Mens Gathering Registration

The Gathering Registration Form

January 12th-14th, 2024

Check in time on Friday anytime after 1:00PM in Big Rapids. The Gathering will end Sunday morning. More details will follow in the email you provide on this form.

Cost of the encounter is $199.00. The full payment is due at signup unless other payment arrangements have been made.

Please contact Eric @ eric.theroadmap@gmail.com with any questions.

First name

Last name

Street Address

Street Address Line 2

City

State

Postal / Zip code

Phone

Birthday

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Emergency Contact

Emergency Contact Email

Food Allergies

What is the name of your home church?

How did you hear about us? (If friend or church, please write the name)

Prayer Requests

Select an item ($)

Mens Gathering Registration - $199.00

Pay this if you are driving to the event and not staying the night. - $99.00

Thank you for signing up for The Gathering. More information will be emailed to you.

The Gathering Registration Form

3217 108th St SW Byron Center, MI 49315 Chuck- 616-291-6493 info.theroadmap@gmail.com

3217 108th St SW
Byron Center, MI 49315
Chuck- 616-291-6493
info.theroadmap@gmail.com